National Academy of Medicine

Improving Return on Investment in Health Care by Reducing Overuse and Misuse—Large Employers’ Perspectives

By Helen Darling
August 10, 2012 | Commentary

As politicians face the disturbing consequences of high health care costs on federal, state, and local budgets, the need to act will likely drive unwise decisions. Typical responses to severe cost pressures, as we have seen in state legislatures and the Congress, are blunt cuts that often affect the most vulnerable and those without political power. Changes that take waste out of the system, such as not paying for clearly ineffective or redundant care, will be resisted by affected economic stakeholders.


Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.